Individual
YVONNE J TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
435 UPPER MOUNTAIN AVE, MONTCLAIR, NJ 07043-1415
(973) 783-3806
Mailing address
435 UPPER MOUNTAIN AVE, MONTCLAIR, NJ 07043-1415
(973) 783-3806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NJ00712000
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00712000
NJ
Other
Enumeration date
03/21/2017
Last updated
09/06/2022
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